| Tae H Song, | |
|
3501 Johnson St, Hollywood, FL 33021-5421 | |
| (954) 265-7750 | |
| (954) 276-0280 |
| Full Name | Tae H Song |
|---|---|
| Gender | Male |
| Speciality | Thoracic Surgery |
| Experience | 25 Years |
| Location | 3501 Johnson St, Hollywood, Florida |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053564732 | NPI | - | NPPES |
| 120907500 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208G00000X | Thoracic Surgery (cardiothoracic Vascular Surgery) | ME165335 (Florida) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Memorial Regional Hospital | Hollywood, FL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| South Broward Hospital District | 8123927373 | 589 |
| Entity Name | South Broward Hospital District |
|---|---|
| Entity Type | Part B Supplier - Hospital Department(s) |
| Entity Identifiers | NPI Number: 1962991562 PECOS PAC ID: 8123927373 Enrollment ID: O20190226001221 |
| Entity Name | South Broward Hospital District |
|---|---|
| Entity Type | Part B Supplier - Hospital Department(s) |
| Entity Identifiers | NPI Number: 1538497086 PECOS PAC ID: 8123927373 Enrollment ID: O20190411001795 |
| Mailing Address | Practice Location Address |
|---|---|
| Tae H Song, 2900 Corporate Way, Door D, Miramar, FL 33025-3925 Ph: (954) 276-5603 | Tae H Song, 3501 Johnson St, Hollywood, FL 33021-5421 Ph: (954) 265-7750 |
Jose Perez Garcia, MD Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Accepting Medicare Assignments Practice Location: 3501 Johnson St, Hollywood, FL 33021 Phone: 954-265-7750 Fax: 954-276-0288 | |
Michael Cortelli, MD Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Accepting Medicare Assignments Practice Location: 1150 N 35th Ave, Suite 440, Hollywood, FL 33021 Phone: 954-986-6356 Fax: 954-985-5154 | |
Syed Shahzad Razi, MD Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Accepting Medicare Assignments Practice Location: 1150 N 35th Ave Ste 660, Hollywood, FL 33021 Phone: 954-265-1125 Fax: 954-265-1133 | |
John Nicholas Melvan, M.D., PH.D. Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Accepting Medicare Assignments Practice Location: 1150 N 35th Ave Ste 440, Hollywood, FL 33021 Phone: 954-265-6356 Fax: 954-985-5154 | |
Edward L Bove, MD Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Not Enrolled in Medicare Practice Location: 1150 N 35th Ave Ste 490, Hollywood, FL 33021 Phone: 954-265-3437 Fax: 954-265-3731 | |
Dr. Fred Imre Ehrenstein, M.D. Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Not Enrolled in Medicare Practice Location: 1110 S Southlake Dr, Hollywood, FL 33019 Phone: 954-609-5572 |